Individual
DR. TIMOTHY LEE IRWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1104 W 8TH ST, YANKTON, SD 57078-3306
(605) 665-7841
(605) 665-0546
Mailing address
1104 W 8TH ST, YANKTON, SD 57078-3306
(605) 665-7841
(605) 665-0546
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
8218
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
72228
WELLMARK BCBS
IA
Enumeration date
05/23/2007
Last updated
05/19/2022
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